COVID-19 pandemic: Probing the dynamics in the North Himalayan state

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dc.contributor.authorSharma, Priyaen_US
dc.contributor.authorRattan, Saurabhen_US
dc.contributor.authorKatoch, Vikramen_US
dc.contributor.authorGupta, Gurdarshanen_US
dc.contributor.authorNarain, Jai Pen_US
dc.date.accessioned2023-08-09T06:10:30Z
dc.date.available2023-08-09T06:10:30Z
dc.date.issued2022-06
dc.description.abstractIntroduction: Coronavirus disease or COVID-19 emerged in December 2019 in China and thereafter spread to all regions of the world including India. In the Himalayan state of Himachal Pradesh, India, the first case was identified in the month of March 2020. As the most populous district of the state of Himachal Pradesh, Kangra not only identified the first case in the state but also thereafter suffered disproportionately due to the virus causing severe health and economic disruption. The study was carried out to better understand the pattern and trends of COVID-19 pandemic in the district since its emergence, covering the first and the second wave to use the data to prepare the future course of action. Materials and Methods: A robust database comprising real-time data in a line list format was created. The observations covered all confirmed COVID-19 cases in the district from March 20, 2020, to June 30, 2021, in terms of disease progression and distribution in time, place, and person, and the possible risk factors for severe disease. Results: During the study period, 45,871 cases and 1030 deaths were reported in Kangra district, with a case fatality rate of 2.2%. Of the 12 districts of the state, Kangra reported the highest number of cases (22.6%) and deaths (29.7%). Ninety percent of all cases occurred during the second wave. While the first wave peaked in December 2020 with 2596 cases, the highest number of cases occurred in May 2021 when as many as 25,625 cases were reported. The test positivity rate of 15.2% during the second wave which was many times higher than that seen during the previous year. The case fatality rates during the first and second waves were 2.2% and 2.1%, respectively. Conclusions: The study highlights an explosive surge in COVID-19 cases during the second wave, indicating the highly infectious nature of the virus. While absolute number of deaths was several times greater during the second wave, the case fatality rates did not differ greatly between the two waves.en_US
dc.identifier.affiliationsDepartment of Health and Family Welfare, Kangra, Himachal Pradesh, Indiaen_US
dc.identifier.affiliationsWHO Regional Office for South East Asia Region, New Delhi, Indiaen_US
dc.identifier.citationSharma Priya, Rattan Saurabh, Katoch Vikram, Gupta Gurdarshan, Narain Jai P. COVID-19 pandemic: Probing the dynamics in the North Himalayan state. Indian Journal of Community & Family Medicine. 2022 Jun; 8(1): 44-49en_US
dc.identifier.issn2395-2113
dc.identifier.issn2666-3120
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/221901
dc.languageenen_US
dc.publisherWolters Kluwer-Medknow Publicationsen_US
dc.relation.issuenumber1en_US
dc.relation.volume8en_US
dc.source.urihttps://doi.org/10.4103/ijcfm.ijcfm_59_21en_US
dc.subjectCOVID-19 pandemicen_US
dc.subjectepidemiologyen_US
dc.subjectIndiaen_US
dc.subjectKangraen_US
dc.subjecttrendsen_US
dc.titleCOVID-19 pandemic: Probing the dynamics in the North Himalayan stateen_US
dc.typeJournal Articleen_US
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